Department of Psychology and Behavioural Sciences

Comparison of proposed diagnostic criteria for pathological grief using a sample of elderly bereaved spouses in Denmark: Perspectives on future bereavement research

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Comparison of proposed diagnostic criteria for pathological grief using a sample of elderly bereaved spouses in Denmark : Perspectives on future bereavement research. / O'Connor, Maja; Lasgaard, Mathias; Larsen, Lene; Johannsen, Maja; Lundorff, Marie; Farver-Vestergaard, Ingeborg; Boelen, Paul A.

In: Journal of Affective Disorders, Vol. 251, No. May, 05.2019, p. 52-59.

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@article{a3c4279da69d4595961f7cb6c2330d79,
title = "Comparison of proposed diagnostic criteria for pathological grief using a sample of elderly bereaved spouses in Denmark: Perspectives on future bereavement research",
abstract = "Background: A distinct grief-specific disorder is included in the ICD-11. Lack of clarity remains regarding whether different proposed diagnostic criteria capture similar or different diagnostic entities. Our aim was to examine the specificity of four proposed diagnostic criteria-sets for pathological grief in a population-based sample. Methods: Participants were 206 conjugally bereaved elderly Danes (59{\%} female; mean age = 72.5 years, SD = 4.2; range 65–81) who completed self-report questionnaires six months post-loss. The main measure was the Danish version of Inventory of Complicated Grief-Revised. Results: Results indicate substantial agreement between Prolonged Grief Disorder (PGD), Persistent Complex Bereavement Disorder (PCBD) and ICD-11-PGD (kappa's = 0.69–0.84), which found 6–9{\%} of cases tested positive for pathological grief. Complicated Grief (CG) was partly in agreement with the three other symptom-diagnostic tests (kappa's = 0.13–0.20), and the prevalence-rate of pathological grief was 48{\%}. Limitations: The low response-rate of 39{\%}. The selective inclusion of data ≥6 months post-loss prevents a comparison of acute and prolonged grief reactions. Using self-reported data, not diagnostic interviews, challenges the validity of our findings. Using a sample of elderly people may limit the generalizability of our results to other age groups. Conclusion: We suggest that PGD, PCBD and ICD-11-PGD may be more discriminative in identifying a specific grief-related psychopathology, while CG may identify a broader set of grief reactions.",
keywords = "Complicated grief, Diagnostic specificity, DSM-5, ICD-11-PGD, Persistent complex bereavement disorder, Prolonged grief disorder",
author = "Maja O'Connor and Mathias Lasgaard and Lene Larsen and Maja Johannsen and Marie Lundorff and Ingeborg Farver-Vestergaard and Boelen, {Paul A.}",
year = "2019",
month = "5",
doi = "10.1016/j.jad.2019.01.056",
language = "English",
volume = "251",
pages = "52--59",
journal = "Journal of Affective Disorders",
issn = "0165-0327",
publisher = "Elsevier BV",
number = "May",

}

RIS

TY - JOUR

T1 - Comparison of proposed diagnostic criteria for pathological grief using a sample of elderly bereaved spouses in Denmark

T2 - Perspectives on future bereavement research

AU - O'Connor, Maja

AU - Lasgaard, Mathias

AU - Larsen, Lene

AU - Johannsen, Maja

AU - Lundorff, Marie

AU - Farver-Vestergaard, Ingeborg

AU - Boelen, Paul A.

PY - 2019/5

Y1 - 2019/5

N2 - Background: A distinct grief-specific disorder is included in the ICD-11. Lack of clarity remains regarding whether different proposed diagnostic criteria capture similar or different diagnostic entities. Our aim was to examine the specificity of four proposed diagnostic criteria-sets for pathological grief in a population-based sample. Methods: Participants were 206 conjugally bereaved elderly Danes (59% female; mean age = 72.5 years, SD = 4.2; range 65–81) who completed self-report questionnaires six months post-loss. The main measure was the Danish version of Inventory of Complicated Grief-Revised. Results: Results indicate substantial agreement between Prolonged Grief Disorder (PGD), Persistent Complex Bereavement Disorder (PCBD) and ICD-11-PGD (kappa's = 0.69–0.84), which found 6–9% of cases tested positive for pathological grief. Complicated Grief (CG) was partly in agreement with the three other symptom-diagnostic tests (kappa's = 0.13–0.20), and the prevalence-rate of pathological grief was 48%. Limitations: The low response-rate of 39%. The selective inclusion of data ≥6 months post-loss prevents a comparison of acute and prolonged grief reactions. Using self-reported data, not diagnostic interviews, challenges the validity of our findings. Using a sample of elderly people may limit the generalizability of our results to other age groups. Conclusion: We suggest that PGD, PCBD and ICD-11-PGD may be more discriminative in identifying a specific grief-related psychopathology, while CG may identify a broader set of grief reactions.

AB - Background: A distinct grief-specific disorder is included in the ICD-11. Lack of clarity remains regarding whether different proposed diagnostic criteria capture similar or different diagnostic entities. Our aim was to examine the specificity of four proposed diagnostic criteria-sets for pathological grief in a population-based sample. Methods: Participants were 206 conjugally bereaved elderly Danes (59% female; mean age = 72.5 years, SD = 4.2; range 65–81) who completed self-report questionnaires six months post-loss. The main measure was the Danish version of Inventory of Complicated Grief-Revised. Results: Results indicate substantial agreement between Prolonged Grief Disorder (PGD), Persistent Complex Bereavement Disorder (PCBD) and ICD-11-PGD (kappa's = 0.69–0.84), which found 6–9% of cases tested positive for pathological grief. Complicated Grief (CG) was partly in agreement with the three other symptom-diagnostic tests (kappa's = 0.13–0.20), and the prevalence-rate of pathological grief was 48%. Limitations: The low response-rate of 39%. The selective inclusion of data ≥6 months post-loss prevents a comparison of acute and prolonged grief reactions. Using self-reported data, not diagnostic interviews, challenges the validity of our findings. Using a sample of elderly people may limit the generalizability of our results to other age groups. Conclusion: We suggest that PGD, PCBD and ICD-11-PGD may be more discriminative in identifying a specific grief-related psychopathology, while CG may identify a broader set of grief reactions.

KW - Complicated grief

KW - Diagnostic specificity

KW - DSM-5

KW - ICD-11-PGD

KW - Persistent complex bereavement disorder

KW - Prolonged grief disorder

UR - http://www.scopus.com/inward/record.url?scp=85062282121&partnerID=8YFLogxK

U2 - 10.1016/j.jad.2019.01.056

DO - 10.1016/j.jad.2019.01.056

M3 - Journal article

VL - 251

SP - 52

EP - 59

JO - Journal of Affective Disorders

JF - Journal of Affective Disorders

SN - 0165-0327

IS - May

ER -